164
Zakowski et al.
Annals of Behavioral Medicine
(7) Folkman S, Lazarus RS: An analysis of coping in a middle-aged
community sample. Journal of Health and Social Behavior.
1980, 21:219–239.
(8) Collins DL, Baum A, Singer, JE: Coping with chronic stress at
Three Mile Island: Psychological and biochemical evidence.
Health Psychology. 1983, 2:149–166.
(9) Vaillant GE, Bond M, Vaillant CO: An empirically validated hi-
erarchy of defense mechanisms. Archives of General Psychia-
try. 1986, 43:786–794.
(10) Forsythe CJ, Compas BE: Interaction of cognitive appraisals of
stressful events and coping: Testing the goodness of fit hypothe-
sis. Cognitive Therapy and Research. 1987, 11:473–485.
(11) Conway VJ, Terry DJ: Appraised controllability as a moderator
of the effectiveness of different coping strategies: A test of the
goodness of fit hypothesis. Australian Journal of Psychology.
1992, 44:1–7.
(12) Felton BJ, Revenson TA: Coping with chronic illness: A study
of illness controllability and the influence of coping strategies
on psychological adjustment. Journal of Consulting and Clini-
cal Psychology. 1984, 52:343–353.
(13) Vitaliano PP, DeWolfe DJ, Maiuro RD, Russo J, Katon W: Ap-
praised changeability of a stressor as a modifier of the relation-
ship between coping and depression: A test of the hypothesis of
fit. Journal of Personality and Social Psychology. 1990,
59:582–592.
(14) Baum A, Grunberg N, Singer JE: The use of psychological and
neuroendocrinological measurements in the study of stress.
Health Psychology. 1992, 59:217–236.
(15) Paulhus DL: Measurement and control of response bias. In
Robinson JP, Shaver PR, Wrightsman LS (eds), Measures of
Personality and Social Psychological Attitudes. San Diego,
CA: Academic, 1991, 17–59.
(16) Glass DC, Singer JE: Urban Stress. New York: Academic,
1972.
(17) Baum A, Gatchel RJ, Schaeffer MA: Emotional, behavioral,
and physiological effects of chronic stress at Three Mile Island.
Journal of Consulting and Clinical Psychology. 1983,
51:565–572.
(18) Vitaliano PP, Russo J, Carr JE, Maiur RD, Becker J: The Ways
of Coping Checklist: Revision and psychometric properties.
Multivariate Behavioral Research. 1985, 20:3–26.
(19) Derogatis LR, Cleary PA: Confirmation of the dimensional
structure of the SCL-90: A study in construct validation. Jour-
nal of Clinical Psychology. 1977, 33:981–989.
(20) Derogatis LR: The SCL-90 Manual I: Scoring, Administration,
and Procedures for the SCL-90. Baltimore, MD: Clinical
Psychometric Research, 1977.
(21) Epping-Jordan JE, Compas BE, Osowiecki DM, et al.: Psycho-
logical adjustment in breast cancer: Processes of emotional dis-
tress. Health Psychology. 1999, 18:315–326.
(22) Cohen S: Aftereffects of stress on human performance and so-
cial behavior: A review of research a theory. Psychological Bul-
letin. 1980, 88:82–108.
(23) Gatchel RJ, Schaeffer MA, Baum A: A psychophysiological
field study of stress at Three Mile Island. Psychophysiology.
1985, 22:175–181.
spective reports of stressful events and use of coping strategies is
not the most adequate assessment strategy for this research. A
related issue concerns the question of causality regarding ap-
praisal and coping use. Our study design did not allow us to de-
termine whether the choice of coping strategies followed or pre-
ceded the appraisal process. For example, it is conceivable that
control appraisals would be higher after the person has effec-
tively used problem-focused coping in dealing with a stressor.
This reasoning does not contradict Lazarus and Folkman’s (1)
model, as the authors considered stress and coping to be a con-
tinual feedback process that includes appraisal and reappraisals
of the situation.
Further limitations concern the study sample, including the
relatively small sample size already mentioned and the possibil-
ity that the generalizability of these findings may be limited by
the participant population chosen (approximately 75% of partic-
ipants had a child with a chronic illness). Most previous studies
on this topic have focused on special populations including col-
lege students, psychiatric patients, caregivers, and medical pa-
tients (11–13). Studies using community samples representative
of the general population will increase confidence in the
generalizability of the transactional model.
This research has potential implications for stress manage-
ment interventions and the idea that teaching effective coping
strategies may need to undergo a shift from a model of inher-
ently adaptive and maladaptive strategies (e.g., 9) to a more
complex and flexible one that allows for moderator variables. In
line with Lazarus and Folkman’s theory (1), these results sug-
gest that the person–situation interaction needs to be taken into
account. In fact, studies that have incorporated this model into
broader coping effectiveness training interventions by teaching
individuals to accurately appraise stressor controllability and to
adjust choice of coping strategies accordingly have reported sig-
nificant improvements in coping efficacy, distress, and depres-
sion (29,30). Future research should examine other potential sit-
uational appraisals that may constitute important moderators of
the coping–stress relationship.
REFERENCES
(1) Lazarus RS, Folkman S: Stress Appraisal and Coping. New
York: Springer, 1984.
(2) Folkman S, Lazarus RS: If it changes it must be a process:
Study of emotion and coping during three stages of college ex-
amination. Journal of Personality and Social Psychology. 1985,
48:150–170.
(3) Folkman S, Lazarus RS, Gruen RJ, DeLongis A: Appraisal,
coping, health status, and psychological symptoms. Journal of
Personality and Social Psychology. 1986, 50:571–579.
(4) Moos RH (1974). Psychological techniques in the assessment
of adaptive behavior. In Coelho GV, Hamburg DA, Adams JE
(eds), Coping and Adaptation. New York: Basic Books, 1974,
334–399.
(5) Vitaliano PP, Maiuro RD, Russo J, Becker J: Raw versus rela-
tive scores in the assessment of coping strategies. Journal of Be-
havioral Medicine. 1987, 10:1–18.
(6) Roberts SM: Applicability of the goodness-of-fit hypothesis to
coping with daily hassles. Psychological Reports. 1995,
77:943–954.
(24) Baum A: Stress, intrusive imagery, and chronic distress. Health
Psychology. 1990, 9:653–675.
(25) Tabachnick B, Fidell LS: Using Multivariate Statistics. New
York: HarperCollins, 1996.
(26) Aiken LS, West SG: Multiple Regression: Testing and Inter-
preting Interactions. Newbury Park, CA: Sage, 1991.